TY - INPR AV - public ID - discovery10192167 KW - Clinical trials KW - Parkinson?s disease KW - disease modification KW - drug repurposing KW - neuroprotection N1 - © 2024 ? The authors. Published by IOS Press. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC 4.0). TI - Twelve Years of Drug Prioritization to Help Accelerate Disease Modification Trials in Parkinson's Disease: The International Linked Clinical Trials initiative SN - 1877-7171 Y1 - 2024/04/05/ A1 - Wyse, Richard K A1 - Isaacs, Tom A1 - Barker, Roger A A1 - Cookson, Mark R A1 - Dawson, Ted M A1 - Devos, David A1 - Dexter, David T A1 - Duffen, Joy A1 - Federoff, Howard A1 - Fiske, Brian A1 - Foltynie, Thomas A1 - Fox, Susan A1 - Greenamyre, J Timothy A1 - Kieburtz, Karl A1 - Kordower, Jeffrey H A1 - Krainc, Dimitri A1 - Matthews, Helen A1 - Moore, Darren J A1 - Mursaleen, Leah A1 - Schwarzschild, Michael A A1 - Stott, Simon RW A1 - Sulzer, David A1 - Svenningsson, Per A1 - Tanner, Caroline M A1 - Carroll, Camille A1 - Simon, David K A1 - Brundin, Patrik JF - Journal of Parkinson's Disease UR - http://doi.org/10.3233/JPD-230363 PB - IOS Press N2 - In 2011, the UK medical research charity Cure Parkinson's set up the international Linked Clinical Trials (iLCT) committee to help expedite the clinical testing of potentially disease modifying therapies for Parkinson's disease (PD). The first committee meeting was held at the Van Andel Institute in Grand Rapids, Michigan in 2012. This group of PD experts has subsequently met annually to assess and prioritize agents that may slow the progression of this neurodegenerative condition, using a systematic approach based on preclinical, epidemiological and, where possible, clinical data. Over the last 12 years, 171 unique agents have been evaluated by the iLCT committee, and there have been 21 completed clinical studies and 20 ongoing trials associated with the initiative. In this review, we briefly outline the iLCT process as well as the clinical development and outcomes of some of the top prioritized agents. We also discuss a few of the lessons that have been learnt, and we conclude with a perspective on what the next decade may bring, including the introduction of multi-arm, multi-stage clinical trial platforms and the possibility of combination therapies for PD. ER -